RCMS Clinical Denials - Manager AC Manila

PwC Acceleration Center Manila; Quezon City; On-site; PHP 1,800,000 - 2,400,000; Full time

Job summary

PwC Acceleration Center Manila is seeking a skilled Manager in RCMS Clinical Denials to optimize operational efficiency for our global client portfolio within the Business & Supply Chain Operations practice.

You will lead projects, mentor teams, and collaborate with clients to implement technology solutions and process automation, aiming for higher productivity and quality. Strong clinical denials and billing expertise are essential for success.

Qualifications

• Bachelor's degree required.
• 7–11 years of experience in related field.
• Proficiency in English (oral and written).
• Experience with clinical denials and medical billing processes.

Responsibilities

• Lead operational consulting projects to improve client efficiency.
• Analyze client needs and develop strategies to streamline processes.
• Guide teams in implementing technology solutions and automation.
• Manage project planning, budgeting, and execution to meet client expectations.
• Coach team members and mentor junior staff to develop skills.
• Facilitate difficult conversations with clients and stakeholders.
• Uphold professional standards and firm code of conduct.
• Identify opportunities for process improvement and cost efficiency.

Skills

English proficiency

Clinical denials

Medical billing

Healthcare billing software

Microsoft Office

Education

Bachelor's degree

Tools

Microsoft Office

Healthcare billing software

Job description

Job Description:

The Opportunity

Join our Acceleration Center Manila and help shape the future of business for our diverse client portfolio across geographies and jurisdictions. You’ll work at the heart of global teams across Advisory, Assurance, Tax and Business Services—solving real client challenges through connected collaboration. We’ll help you grow your skills so you can go further. With hands‑on learning, cutting‑edge tools and an inclusive culture, this is your opportunity to do inspiring work that makes a difference—every day.

As a Manager in RCMS Clinical Denials at PwC Acceleration Center Manila, you will play a pivotal role in optimizing operational efficiency and effectiveness within our Business & Supply Chain Operations practice. You will collaborate with clients to analyze operational processes, identify areas for improvement, and develop strategies to enhance productivity, quality, and efficiency.

Your expertise in operations consulting will be crucial in providing guidance on implementing technology solutions, process automation, and operational excellence frameworks.

As a Manager, you will lead teams and manage client accounts, focusing on strategic planning and mentoring junior staff. You are accountable for confirming project success and maintaining standards. Enhancing your leadership style, you motivate, develop, and inspire others to deliver quality. You are responsible for coaching, leveraging team members' unique strengths, and managing performance to deliver on client expectations. With your growing knowledge of how business works, you play an important role in identifying opportunities that contribute to the success of our Firm. You are expected to lead with integrity and authenticity, articulating our purpose and values in a meaningful way. You embrace technology and innovation to enhance your delivery and encourage others to do the same.

Responsibilities

• Leading operational consulting projects to enhance client efficiency and effectiveness
• Analyzing client needs and developing strategies to streamline processes and improve productivity
• Guiding teams in implementing technology solutions and process automation for operational excellence
• Managing project planning, budgeting, execution, and completion to meet client expectations
• Coaching team members to leverage their strengths and develop new skills
• Facilitating difficult conversations with clients and stakeholders to address conflicts or issues
• Upholding professional and technical standards, including adherence to the firm's code of conduct
• Identifying opportunities for business process improvement and cost efficiency
• Promoting the use of emerging technologies and innovative solutions in client engagements
• Building and maintaining relationships with clients to support operational strategy development

What You Must Have

• At least a Bachelor's degree
• At least 7 to 11 years of experience
• Oral and written proficiency in English required
• Proven experience in clinical denials
• Strong knowledge of medical billing processes and insurance reimbursement
• Experience with healthcare billing software and Microsoft Office applications

What Sets You Apart

• Utilizing automation solutions for operational excellence
• Implementing lean process improvement strategies
• Excelling in business process improvement initiatives
• Demonstrating proficiency in Six Sigma methodologies
• Embracing emerging technologies for competitive advantage
• Developing strategic questioning techniques for operational analysis
• Leading operations strategy with a focus on cost efficiency

Requirements